Individual provider · NPI-1

Carrita Cooper

Counselor, Addiction (Substance Use Disorder) · Georgetown, SC

NPI number1396659322
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1396659322
Entity type
Individual (NPI-1)
Name
Carrita Cooper
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2026
Certification date
Sep 29, 2026
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)ADC-IP3194SCYes

Practice location

1306 N Fraser St
Georgetown, SC 29440-2800

Phone 843-325-2927 · Fax 843-325-2928

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

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